Fast Healthcare Interoperability Resources (FHIR, pronounced "fire") is a draft standard describing data formats and elements (known as "resources") and an application programming interface (API) for exchanging electronic health records
I was discussing the interoperability side of FHIR as part of a discussion about the best resource/s that should be used in order to represent Antibiotic resilience, and although we've reached an agreement, that got me thinking of two thing, and I'd love to know your thoughts on those matters.
Sometimes we need to convert FHIR message to HL7 V2, e.g. to register a patient to the PACS system. In this article, I will explain the steps to achieve the desired by using IRIS FHIR Server production.
Below are the steps we need to follow:
Make sure FHIRServer production is started.
Register Business Service with FHIRServer endpoint.
Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
Post JSON resource to FHIRServer endpoint and get HL7 V2 response.
Let's review the steps in detail.
Step 1. Make sure FHIRServer production is started
Open the production page and make sure Production is started. In the next step, we need to make sure business service HS.FHIRServer.Interop.Service is registered with FHIRServer
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I have created a FHIR endpoint and send the FHIR resource to FHIR Interoperability production class which is HS.FHIRServer.Interop.Service through the the created endpoint(/r4). I can able to see/get the HS.SDA3.QuickStream(It use CacheTemp.HS.Stream temporary global) on the fly(In between the process). I'm unable to get the FHIR resource from the QuickStream once the process completed. Is this HS.SDA3.QuickStream is wiped out from the system once process completed?
I recently participated in a fantastically organized hands-on by @Patrick Jamieson in which an Angular application was configured together with an IRIS FHIR server following the protocols defined by SMART On FHIR and I found it really interesting, so I decided to develop my own Angular application and thus take advantage of what I learned to publish it in the Community.
SMART On FHIR
Let's see what Google tells us about SMART On FHIR:
In 2021, I participated as an InterSystems mentor in a hackathon, where a newcomer to FHIR asked me if there was a tool to transform generic JSON data containing basic patient information into FHIR format. I informed her that I didn't know anything like that, unfortunately.
But that idea stays in my mind...
Several months later, in 2022, I came up with an idea to experiment: to train a named entity recognition (NER) to identify FHIR elements into generic texts. The training involved synthetic FHIR data generated by Synthea and the spaCy Python library.
While configuring FHIR Server I could not find "Health > FHIR Configuration > Server Configuration" option. I am using InterSystems IRIS community edition on my local PC.
I am looking for a way to serialize fhir content received via interoperability adapter into it´s corresponding ISC model class (e.g. HS.FHIR.DTL.vR4.Model.Resource.DiagnosticReport) for later use. In my opinion the outline to accomplish this would be something like
1) Receive the FHIR data 2) Get quick stream containing the JSON data 3) Examine if bundle or single ressource 4) For resource serialize to coressponding model class (HS.FHIR.DTL.vR4.Model.Resource.*) 5) further use of newly created object of type HS.FHIR.DTL.vR4.Model.Resource.*
The idea is that you can post a bundle to a FHIR server with a set of resources. And you can send it as a transaction, so only all the resources will be published or neither.
E.g. I send a bundle of two resources: patient and its observation.
The observation resource should reference an existing patient. But it probably doesn't exist yet on the server and goes within the same bundle.
For this purpose there is a way to have a temporary id in the bundle, to let resources reference ids.
I have performed the suggested steps given in the below link for IAM installation but got an error "docker. errors.NullResource: Resource ID was not provided [21528] Failed to execute script docker-compose"
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I had attempted to create a REST Operation before but did not have success. As I am going through the Tutorials and Documentation everything references REST services, but I have a case where I want to create a REST Operation that makes Epic API calls against Interconnect. I have done SOAP operations before and we currently have one in our Production Namespace, but from what I understand SOAP has the wsdl which defines al the structures and etc, where REST does not.
In previous articles we have seen how to configure and customize our EMPI, we have seen how we can include new patients in our system through HL7 messaging, but of course, not everything is HL7 v.2 in this life! How could we configure our EMPI instance to work with FHIR messaging?
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We have an immediate requirement for an experienced Intersystems Ensemble/Healthshare Connect developer to join our team with a good grounding programming ,Healthcare Integration and experience with InterSystems Ensemble/Healthshare Health Connect.
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Learn how to transform your healthcare data into HL7 FHIR and seamlessly convert and populate Amazon HealthLake with InterSystems FHIR Transformation Service:
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I have been successfully able to transform hand-written medical test results documents to HL7 ORU_R01 v2.x, then to SDA, which will be trasformed to FHIR or C-CDA.
However, I have a category of documents which contains reference range in multiple date formats, which are measured for each gestation period. For example, below is one of the documents.
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